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MR. MICHAEL JAMES MINNIHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSFA

Contact information

Practice address
2201 SCHRADER LN, NORTH AURORA, IL 60542-2128
(630) 898-9447
Mailing address
2201 SCHRADER LN, NORTH AURORA, IL 60542-2128
(630) 898-9447

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
238.000109
IL

Other

Enumeration date
12/30/2010
Last updated
12/30/2010
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